Financial Assistance Policy
If Gulfshore Endoscopy Center believes that you have health insurance and/or HMO coverage(s) that may cover some or all of the Services, Gulfshore Endoscopy Center may initiate contact with them to determine your cost-sharing responsibilities for Gulfshore Endoscopy Center’s bill. You may contact them directly as well for additional information concerning your cost-sharing responsibilities. If Gulfshore Endoscopy Center determines that you have cost-sharing responsibilities for Gulfshore Endoscopy Center’s bill, in accordance with Gulfshore Endoscopy Center’s financial assistance policies, you will be required to pay your cost-sharing responsibilities in full on or before the date that Services are provided. Gulfshore Endoscopy Center’s financial assistance policies are that if you are unable to pay your cost-sharing responsibilities in full on or before the date that Services are provided, because you believe you are medically indigent or you are not covered by any health insurance or HMO, then upon request Gulfshore Endoscopy Center, in its sole discretion, may offer you a discount on the amount due and/or offer a payment plan. Any such discount is considered by Gulfshore Endoscopy Center to be “charity care.” There is no formal application process for obtaining “charity care” at Gulfshore Endoscopy Center. Gulfshore Endoscopy Center’s standard collection policy is to produce and send one or more bills to patients for their cost sharing amount.
Good Faith Estimate
Upon your request, and before the provision of non-emergency care at Gulfshore Endoscopy Center, you can receive a good faith estimate of anticipated charges for the treatment of your condition at Gulfshore Endoscopy Center. This estimate must be provided to you within seven (7) days of the request being received by Gulfshore Endoscopy Center. You should contact your insurer or health maintenance organization regarding your cost-sharing responsibilities. You may request and obtain a Good Faith Estimate by calling Gulfshore Endoscopy Center at (239) 435-9330.
Itemized Bill
Upon request and after discharge from Gulfshore Endoscopy Center we will provide a statement within 7 working days of your request.
Provider Disclosure
Services may be provided in this health care facility by Gulfshore Endoscopy Center as well as by other health care providers who may separately bill the patient and who may or may not participate with the same health insurers or health maintenance organizations as Gulfshore Endoscopy Center. You may request a more personalized estimate of charges from these other health care providers by contacting the health care providers directly. Gulfshore Endoscopy Center may contract with providers for pathology and anesthesiology services; these services are billed separately from Gulfshore Endoscopy Center for their services. You may contact these providers through their contact information provided below.
Gulfshore Endoscopy Center Providers
Physician Fee:
Gastroenterology Group of Naples, PA
1064 Goodlette Road North
Naples, FL 34102
Billing Office, (239) 649-7879
Anesthesia Services:
Gulfshore Anesthesia Services, LLC
P.O. Box 111600
Naples, FL 34108
Billing Office, (239) 325-2050
Pathology Services:
Naples Pathology Associates
1110 Pine Ridge Road, Unit #306
Naples, FL 34108
(239) 263-1777
Billing Office, (866) 512-6639
Pathology Services:
Thomas W. Jewell, MD
1064 Goodlette Road North
Naples, FL 34102
Billing Office, (239) 649-7879
Upon request and after discharge from Gulfshore Endoscopy Center, Gulfshore Endoscopy Center will make available the patient record that may be necessary for verification of the accuracy of your patient statement within 10 working days of your request.
Link to Healthcare Related Data
Pursuant to AHCA Statute: s.405.05,F.S. please find here a link to data, quality measures, and statistics that are disseminated by AHCA.
Patient Complaint or Grievance
To report a complaint or grievance, you can contact the facility Administrator by phone at (239) 435-9330 or by mail at:
Gulfshore Endoscopy Center
1084 Goodlette-Frank Road, Naples, FL 34102